CLINTON B OLSON MD
NPI 1104082742
Family Medicine in Green Bay, WI

Q: What is Clinton Olson's NPI number?

The NPI number for Clinton Olson is 1104082742. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Q: What is Clinton Olson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Clinton Olson was last updated on November 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 04, 2008PECOS EnrolledAccepts Medicare Assignment

2253 W MASON ST, GREEN BAY, WI 54303(920) 327-7300 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 22, 2021, Jul 29, 2020, Sep 19, 2019 (3 updates tracked since 2019).

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About Clinton B Olson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON B OLSON MD (NPI 1104082742) is an individual family medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (73389-20) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2007).

NPPES Registry Identity

NPI1104082742

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameCLINTON B OLSONCredential: MD

Location Address2253 W MASON STGreen Bay, WI 54303-4706

Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 389-2131

Phone(920) 327-7300

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2007

Enumeration DateAugust 4, 2008

Last NPPES UpdateNovember 22, 20213 updates tracked since enumeration

NPPES CertifiedNovember 22, 2021

✔ NPI 1104082742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 73389-20✔ Licensed in CO · 0049276✔ Licensed in OK · 25807

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2253 W MASON ST, Green Bay, WI 54303

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Clinton B Olson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779641253

PECOS Enrollment IDI20200610000433

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL E PHILLIPS MD

Emergency Medicine

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 327-7250

MS. KATHLEEN G STEWARD APNP

Nurse Practitioner

2253 W MASON ST, #200
GREEN BAY, WI 54303

Brown County (920) 327-7300

ALAN G FINESILVER MD

Internal Medicine (Rheumatology)

2253 W MASON ST, #200
GREEN BAY, WI 54303

Brown County (920) 327-7300

AURORA MEDICAL GROUP, INC.

Durable Medical Equipment & Medical Supplies

2253 W MASON ST, SUITE 200
GREEN BAY, WI 54303

Brown County (920) 327-7300

JULIE A MAGNIN M.D.

Family Medicine

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 327-7300

PAUL R SUMMERSIDE MD

Emergency Medicine

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 327-7250

MARCIA RADDATZ PTA

Physical Therapy Assistant

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 327-7200

LARA SUTTON OTR

Occupational Therapist

2253 W MASON ST
GREEN BAY, WI 54303

Brown County (920) 327-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Olson's NPI number?

The NPI number for Clinton Olson is 1104082742. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Clinton Olson located?

Clinton Olson practices at 2253 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 327-7300.

What is Clinton Olson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Clinton Olson enrolled in Medicare?

Yes. Clinton Olson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Clinton Olson was last updated on November 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.